Provider Demographics
NPI:1548413685
Name:PHU, CHRISTIANNE M (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIANNE
Middle Name:M
Last Name:PHU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7451 WARNER AVE
Mailing Address - Street 2:#E-117
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-5494
Mailing Address - Country:US
Mailing Address - Phone:714-390-6573
Mailing Address - Fax:
Practice Address - Street 1:7451 WARNER AVE # E-117
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-5494
Practice Address - Country:US
Practice Address - Phone:714-390-6573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52885122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist